Individual provider Active NPI

Matthew Lewis Draper, FNP-C, RN, AT, ATC

  • Family Nurse Practitioner
  • Jackson, MI
National Provider Identifier
1184991234
Registry record updated Mar 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704318832 Issued in MI
Practice address
956 Cooper St
Jackson, MI 49202-3398
Phone
(517) 998-6574
NPI assigned
Nov 17, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Registered Nurse 163WE0003X 4704318832 MI
Athletic Trainer 2255A2300X 2601000140 MI
Family Nurse Practitioner 363LF0000X 4704318832 MI Primary

Addresses

Primary practice location

956 Cooper St
Jackson, MI 49202-3398

Mailing address

11228 Sand Hill Dr
Grass Lake, MI 49240-9688
Phone (517) 398-4042

Other practice location 1

206 Page Ave
Jackson, MI 49201-2418
Phone (517) 990-6208

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210827002770 MI Practitioner - Nurse Practitioner 9830594837 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eaton Rapids Medical CenterGroup PAC ID 5991692634, shared by 4 NPIs, 34 clinicians

Practice addresses (Care Compare)

61 W Carleton Rd
Hillsdale, MI 49242-1201
Phone (517) 439-5411

956 Cooper St
Jackson, MI 49202-3398
Phone (517) 998-6574

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
2601000140MIMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Hillsdale Community Health Center CurrentSince Jan 30, 2025 Accepting new patients
Eaton Rapids Medical Center CurrentSince Aug 30, 2024 Accepting new patients
Hillsdale Community Health Center CurrentSince Jan 30, 2025 Accepting new patients
Eaton Rapids Medical Center Current Accepting new patients
Eaton Rapids Medical Center CurrentSince Aug 30, 2024 Accepting new patients
Wa Foote Memorial Hospital, Inc Current Accepting new patients
W.a. Foote Memorial Hospital, Inc Family CurrentSince Aug 26, 2021 Accepting new patients
W.a. Foote Memorial Hospital, Inc CurrentSince Aug 26, 2021 Accepting new patients
Orthopaedic Rehab Specialists, PC PastSince Aug 5, 2007 Accepting new patients
Wa Foote Memorial Hospital, Inc Past Accepting new patients

Locations

1 Ford Pl
Detroit, MI 48202
Phone (313) 874-4118

1500 S Main St
Eaton Rapids, MI 48827
Phone (517) 663-2671

168 S Howell St
Hillsdale, MI 49242
Phone (517) 437-4451

61 W Carleton Rd
Hillsdale, MI 49242
Phone (517) 437-5020

1201 E Michigan Ave
Ste 301
Jackson, MI 49201

1201 E Michigan Ave
Jackson, MI 49201
Phone (517) 205-1431

813 W Michigan Ave
Jackson, MI 49202
Phone (517) 205-1000

956 Cooper St
Jackson, MI 49202
Phone (517) 787-3900

205 N East Ave
Jackson, MI 49201
Phone (517) 788-4730

1201 E Michigan Ave
Ste 300
Jackson, MI 49201
Phone (517) 205-1431

7845 Spring Arbor Rd
Spring Arbor, MI 49283
Phone (517) 205-2580

Interoperability endpoints

  • Direct secure messaging: mdraper654667@direct.parkviewexchange.com
  • Direct secure messaging: mdraper453734@direct.hfhs.org

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1321488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711411200000",
    "number": "1184991234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11228 SAND HILL DR",
            "city": "GRASS LAKE",
            "state": "MI",
            "postal_code": "492409688",
            "telephone_number": "517-398-4042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "956 COOPER ST",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492023398",
            "telephone_number": "517-998-6574"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "206 Page Ave",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MI",
            "postal_code": "492012418",
            "country_code": "US",
            "telephone_number": "517-990-6208",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DRAPER",
        "first_name": "MATTHEW",
        "middle_name": "LEWIS",
        "credential": "FNP-C, RN, AT, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-11-17",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "MI",
            "license": "4704318832",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MI",
            "license": "2601000140",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704318832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MI

Sources for this page

Verify at the official NPI Registry.